• Am J Emerg Med · Nov 2013

    Case Reports

    Prolonged cardiac arrest: successful resuscitation with extracorporeal membrane oxygenation.

    • Chun-Wen Chiu, Hsu-Heng Yen, Chun-Chieh Chiu, and Fu-Yuan Siao.
    • Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
    • Am J Emerg Med. 2013 Nov 1;31(11):1627.e5-6.

    AbstractExtracorporeal membrane oxygenation support can extend the duration of cardiopulmonary resuscitation (CPR), but prolonged CPR may develop multiple organ failure, and neurologic death is a major complication. We present a case of a 35-year-old woman with fulminant myocarditis secondary to H1N1 influenza A infection, in which cardiac arrest was refractory to prolonged conventional CPR. Extracorporeal membrane oxygenation was initiated 250 minutes after prolonged CPR. Extracorporeal membrane oxygenation provided cardiopulmonary life support for prolonged CPR, achieving a sustained return of spontaneous circulation, which allowed further treatment and made a good recovery with intact cerebral performance.

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